Tadalafil (Brand name Cialis) Generic Cialis is Tadalafil belongs to a class of drugs called phosphodiesterase-5 (PDE5). Other medications in this class include:
- Sildenafil (Viagra)
- Vardenafil (Levitra)
Tadalafil was approved by the FDA in November 2003.
It is available in almost all pharmacies. You can get Cialis Online at any accredited pharmacy if your doctor has prescribed it for you.
Mechanism of action
The erection of the penis is caused by filling the penis with blood. The filling occurs because the blood vessels that carry the blood to the penis increase in size and deliver more blood to the penis, and at the same time carry blood vessels that carry blood from the penis, in size and remove less blood from the penis, The sexual stimulation that leads to an erection causes the production and release of nitric oxide in the penis. Nitric oxide produces an enzyme, guanylate cyclase, to produce cyclic guanosine monophosphate (cGMP). It is cGMP, which is primarily responsible for the enlargement and reduction of blood vessels that carry blood to and from the penis and cause an erection. When the cGMP is destroyed by another enzyme, the phosphodiesterase-5, the blood vessels return to their normal size, the blood leaves the penis and the erection ends. Tadalafil prevents phosphodiesterase-5 from destroying cGMP, so cGMP stays longer. The persistence of cGMP leads to prolonged blood thickening of the penis.
Avoid taking Cialis if:
- You are Taking medications that are known as nitrates, such as the combination can cause an unsafe fall in nitroglycerin blood pressure or other medications such as isosorbide dinitrate or isosorbide mononitrate, which is often prescribed for chest pain; or use recreational drugs called “poppers” such as amyl nitrite and butyl nitrite.
- Take medicines called guanylate cyclase stimulants such as riociguat, a medicine used to treat pulmonary hypertension, since the combination can cause an unsafe drop in blood pressure.
- If you are allergic to CIALIS (Tadalafil) or any of its ingredients.
- The FDA warns of sudden hearing loss in people who use Tadalafil and similar products.
Cilias uses:
Tadalafil is used to treat male sexual impotence or erectile dysfunction ED. In combination with sexual stimulation, Tadalafil (Cialis) works by increasing blood flow to the penis to help a man achieve and maintain an erection.
Tadalafil is also used to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia – BPH).
Tadalafil works by relaxing the smooth muscles of the prostate and bladder.
Side effects:
Side effects associated with the use of Cialis include
- Ringing in the ears or sudden loss of hearing;
- Changes in vision or sudden loss of vision;
- Chest pain or strong feeling, pain spreading to the arm or shoulder, nausea, sweating, general malaise;
- Shortness of breath, swelling in hands or feet;
- Irregular heartbeats;
- Convulsions
- Erection of the penis that is painful or lasts 4 hours or more.
- Sensation of drowsiness, impotence.
Less serious side effects can be:
- Headaches
- Cold symptoms such as nasal congestion, sneezing or sore throat
- Redness or warmth in the face, neck or chest;
- Muscle pain, back pain.
- Memory problems;
- Diarrhea, upset stomach
Cialis Dosage
A first dose is 10 milligrams (mg) at least 30 minutes before sexual activity. The dosage can be adjusted depending on the response of the individual. The maximum is 20 mg in a single dose.
The patient should not take more than one dose within 24 hours, but a daily dose of 10 mg to 20 mg is not recommended. This is because part of the medication remains in the system for at least 24 hours.
How can I buy Cialis online?
If you and your doctor decide that Cialis is right for you, take your prescription to an accredited pharmacy to make sure you actually receive Cialis. Finding Real Cialis Online is one of the most difficult jobs.
Where can You buy Cialis online?
If you complete your prescriptions online, here are some online legal pharmacies where you can apply for Cialis online :
The best pharmacies where you can order Cialis Online are :
-
Express Scripts
- Walmart
-
Walgreens
- Cvs
There are other pharmacies Where You can Order Cialis Online.
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